Humor Health Promotion/ Sensitivity to Each Patient’s Goals + Values

• Goals to have patient adopt health-promoting behaviors
  • Information not enough

Therapeutic Effectiveness

• Self-awareness + self-reflection
• Openness
• Self-confidence + strength
• Genuineness
• Concern for individual
• Respect for individual
• Knowledge
• Ability to empathize
• Sensitivity
• Acceptance
• Creativity
• Ability to focus + confront

Emotional/ Spiritual/ Physical Care

• Listening
  • Shows patient you care
  • Get information
• Silence
  • Nonverbal response
• Open-ended questions
• Listen/ silence/ touch/ convey acceptance

Healthy People 2020

• Improve health literacy
  • Health promotion requires effective communication
  • Read, comprehend, + follow through on health information.

Values Clarification

• Method discovering one’s values + importance of these values
• Own values + biases
• Helps people recognize what values they hold + evaluate how those values influence their actions
• Patient values lead to behaviors that conflict with RN value of promoting health
  • Ethical dilemmas
  • RN examines conflicting values
  • Possible outcomes to promote health interventions

Steps in Self-Awareness

• Listening to oneself
  • Self-concept
    • Mental picture of self
  • Self-esteem
    • How people feel about the way they see themselves
  • Judgement + attitudes about self
• Listening to + learning from others
  • Feedback
• Self-disclosure
  • Share aspects of self
  • Disclosure in one triggers disclosure in another
• Practical reflection
  • Understand one’s own thoughts + actions to take action in future
• Need self-awareness + clarification of values
  • Therapeutic use of self-impaired

Relationship Stages

• Orientation/ introductory phase/ RN + patient meet
  • RN structures interaction
  • Establishing a connection
    • Consistency
    • Sensitive pacing of communication
    • Active listening
    • Conveying concern + warmth
    • Pay attention to comfort + control
• Working phase
  • RN + patient work together to promote patient’s health
• Termination phase
  • Ending relationship
  • For therapeutic relationships

Ethical Communication

• How receiver is getting the message
• Treat people with respect
• Barriers
  • Sender
  • Message
  • Receiver
  • Anxiety/ attitudes/ noise/ activity/ distance/ language/ beliefs